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Procedimentos endodônticos regenerativos: revisão narrativa
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Abstract(s)
A gestão de dentes necróticos imaturos é sempre um desafio terapêutico para o praticante há décadas. Estes dentes têm paredes radiculares finas e frágeis com um ápice amplamente aberto, tornando a terapia endodôntica tradicional complexa.
Nos últimos anos, novas técnicas endodônticas têm aparecido na literatura. Permitiriam a continuação do desenvolvimento radicular em dentes necróticos imaturos. Para atingir este objectivo, os investigadores estudaram várias técnicas: revascularização do coágulo sanguíneo, terapia com SC, implantação de polpa, implantação de scaffold, impressão de células tridimensionais, scaffold injectável e terapia genética.
Estes tratamentos podem ser benéficos uma vez que apresentam a possibilidade de restaurar a funcionalidade da polpa, fazendo uma polpa vital capaz de promover uma maturação apical correcta.
O objectivo deste trabalho é analisar os diferentes protocolos existentes da medicina regenerativa e especialmente o que se relaciona com a revascularização.
The management of immature necrotic teeth is always a therapeutic challenge for the practitioner for decades. These teeth have thin and fragile root walls with a wide open apex, making traditional endodontic therapy complex. In recent years, new endodontic techniques have appeared in the literature. They would allow the continuation of root development in immature necrotic teeth. To achieve this goal, researchers have studied various techniques: blood clot revascularisation, stem cell therapy, pulp implantation, scaffold implantation, three-dimensional cell printing, injectable scaffold and gene therapy. These treatments may be beneficial as they present the possibility of restoring pulp functionality, making a vital pulp capable of promoting correct apical maturation. The aim of this work is to analyse the different existing protocols of regenerative medicine and especially the one related to revascularisation.
The management of immature necrotic teeth is always a therapeutic challenge for the practitioner for decades. These teeth have thin and fragile root walls with a wide open apex, making traditional endodontic therapy complex. In recent years, new endodontic techniques have appeared in the literature. They would allow the continuation of root development in immature necrotic teeth. To achieve this goal, researchers have studied various techniques: blood clot revascularisation, stem cell therapy, pulp implantation, scaffold implantation, three-dimensional cell printing, injectable scaffold and gene therapy. These treatments may be beneficial as they present the possibility of restoring pulp functionality, making a vital pulp capable of promoting correct apical maturation. The aim of this work is to analyse the different existing protocols of regenerative medicine and especially the one related to revascularisation.
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Keywords
Dentes imaturos Procedimentos pulpar regenerativos Pasta triple antibiótico Terapia do canal Revascularização Imature teeth Pulp regeneration procedures Triple antibiotic paste Root canal therapy Pulp revascularisation